| NPI | 1609856152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0000732) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT0000339) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-09-25 |